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                <title xml:lang="en">Correlation of age and hematoma volume in patients with spontaneous lobar intracerebral hemorrhage</title>
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                    <forename type="first">Hannes</forename>
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                    <forename type="first">Stephan P.</forename>
                    <surname>Kloska</surname>
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                  <email type="domain">uk-erlangen.de</email>
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                    <forename type="first">Martin</forename>
                    <surname>Köhrmann</surname>
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                    <forename type="first">Hagen B.</forename>
                    <surname>Huttner</surname>
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                <idno type="issn">0022-3050</idno>
                <idno type="eissn">1468-330X</idno>
                <title level="j">Journal of Neurology, Neurosurgery and Psychiatry</title>
                <imprint>
                  <publisher>BMJ Publishing Group</publisher>
                  <biblScope unit="volume">82</biblScope>
                  <biblScope unit="issue">2</biblScope>
                  <biblScope unit="pp">144</biblScope>
                  <date type="datePub">2010-07-28</date>
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              <idno type="doi">10.1136/jnnp.2010.208439</idno>
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                <term xml:lang="en">AMYLOID</term>
                <term xml:lang="en">IMAGE ANALYSIS</term>
                <term xml:lang="en">STROKE</term>
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              <p>Background Lobar intracerebral hemorrhage [LH] is gaining importance in the ageing population, however there are only limited data regarding specific clinical characteristics and risk factors of elderly patients with LH. Methods This retrospective analysis of patients with spontaneous supratentorial hemorrhage included 174 consecutive patients (78 LH and 96 deep ICH [DH]). Clinical data including the pre-admission status, neuroradiological findings, initial presentation, treatment, and outcome were evaluated through institutional databases, patient¡¯s medical charts and by mailed questionnaires. Logistic regression analyses were calculated for initial parameters predisposing LH and for treatment and outcome parameters associated with LH. Results Age-stratified volume analysis revealed increasing hematoma volumes for LH (&lt;=70y: 26.2ml, 70-80y: 37ml, &gt;80y: 61.3ml), whereas DH showed no relation between volume and age (&lt;=70y: 10.1ml, 70-80y: 23.2ml, &gt;80y: 12.1ml). DH patients had significantly higher HbA1c levels. Post-ICH seizures were more frequent after LH. Logistic regression analyses identified the parameters: age, hematoma volume, and post-ICH seizures to be associated with LH, whereas intraventricular hemorrhage, extraventricular drainages and elevated HbA1c were related to DH. Conclusion Hematoma volumes are substantially increasing in LH patients that are older than 70 years. Pathologic HbA1c levels are significantly associated and predisposing for DH. These findings further support the ongoing debate of different disease entities for supratentorial ICH (i.e. association of cerebral amyloid angiopathy and lobar ICH versus diabetes induced atherosclerosis in deep ICH). Future studies should focus on identifying specific pathologic characteristics and risk factors for both bleeding sites to implement specific preventive measures, i.e. amyloid angiopathy modulating therapies for LH, and to avoid risk factors that are specific for each hemorrhage location.</p>
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          <orgName>Friedrich-Alexander Universität Erlangen-Nürnberg = University of Erlangen-Nuremberg</orgName>
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              <addrLine>Schlossplatz 4, 91054 Erlangen, Germany</addrLine>
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